By Laura Carfang
Breast cancer surgery is a deeply personal and often challenging experience for many women. As people navigate the complexities of a breast cancer diagnosis, a patient-centered approach to reconstruction and plastic surgery becomes critical. This approach prioritizes the individual needs, preferences, and values of the person, ensuring that they are active participants in the decision-making process.
In a recent podcast that we recorded at SurvivingBreastCancer.org, Dr. Thomas Francel, a seasoned plastic surgeon, shared insights into his patient-centered philosophy regarding breast reconstruction. His commitment to seeing patients within 24 hours of diagnosis exemplifies the importance of timely communication in healthcare. By providing patients with immediate access to information and support, Dr. Francel alleviates some of the anxiety and uncertainty that often accompany a cancer diagnosis. He emphasizes the significance of being well-informed, stating, “I give them a lot of information... we have the diagnosis, we have the cell type, we have a lot of the stuff that I can sit and talk to them about.” This proactive approach allows patients to better understand their options and make informed decisions regarding their plastic surgery reconstruction.
Dr. Francel’s dedication to personalized care extends beyond these initial consultations. He recognizes that each patient’s journey is unique and that reconstruction should be tailored to individual circumstances. He notes the evolution of reconstruction techniques, explaining how he has settled on a method that he believes is best for the patient, considering both oncological and recovery aspects. This adaptability is crucial in a field where advancements in surgical techniques continuously reshape best practices.
A key component of Dr. Francel’s approach is his acknowledgment of the emotional and psychological impact of breast cancer. Many women face the difficult decision of whether to undergo a unilateral or bilateral mastectomy. Dr. Francel highlights that some patients opt for bilateral mastectomies as a way to alleviate the mental burden of regular mammograms and the anxiety associated with potential recurrence. His understanding of the mental health aspects of treatment underscores the importance of addressing not only patients’ physical needs, but also their emotional needs.
Discussing the aesthetic outcomes of plastic surgery reconstruction, Dr. Francel emphasizes the importance of symmetry and natural appearance. He acknowledges the inherent asymmetry in women’s bodies and strives to achieve the best possible results, often requiring additional procedures on the opposite breast to ensure balance. This attention to detail reflects his commitment to enhancing the quality of life for his patients, as aesthetic outcomes can significantly influence self-esteem and body image post-treatment.
By prioritizing personalized care, timely communication, and a multidisciplinary approach, healthcare teams can ensure that patients feel supported, informed, and empowered throughout their surgery.
Listen Now: Breast Reconstruction and Plastic Surgery Explained: Expert Insights from Dr. Thomas Francel
Because this podcast episode focuses specifically on plastic surgery options, we do not talk about aesthetic flat closure, which is an option for those who do not want or who are not candidates for reconstruction. More information on aesthetic flat closure can be found on our blog and in our podcast episode #48: Radical Mastectomy & Going Flat | Interview with Alicia Duncan (Part II)
Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider.
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